catf-5: hurricane katrina-new orleans, august - september 2005

8/8/2019 CATF-5: Hurricane Katrina-New Orleans, August - September 2005

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Hurricane KatrinaHurricane Katrina --New OrleansNew Orleans

August August --September 2005September 2005Ken Miller MD PhD

FEMA US&R Incident Support TeamFEMA US&R CA Task Force 5



Hurricane KatrinaHurricane Katrina --New OrleansNew Orleans

Monday, August 29, 2005.Monday, August 29, 2005.

Eye wall moves east of New Orleans.Eye wall moves east of New Orleans.US&R resources staged in Shreveport, LA, Saturday,US&R resources staged in Shreveport, LA, Saturday, August 27 and Sunday, August 28. August 27 and Sunday, August 28.

ISTIST-- A, TX TF A, TX TF --1, MO TF1, MO TF --1, TN TF1, TN TF --1.1. TX Type I TF, MO & TN Type III TFs. TX Type I TF, MO & TN Type III TFs.

Other operations: ISTOther operations: IST -- A, OH TF A, OH TF --1 & IN TF1 & IN TF --1 staged at1 staged atNAS Meridian for Biloxi & Gulfport, MS; NDMS DMATsNAS Meridian for Biloxi & Gulfport, MS; NDMS DMATs

staged in multiple gulf states.staged in multiple gulf states.Intelligence gathering, caches configured for water rescue.Intelligence gathering, caches configured for water rescue.Maps, internet, impact region infrastructure, news media.Maps, internet, impact region infrastructure, news media.

Moved briefly to Baton Rouge Monday, confer with LA StateMoved briefly to Baton Rouge Monday, confer with LA StateEOC & move on to New Orleans, arriving around midnight.EOC & move on to New Orleans, arriving around midnight.



•• Wind Wind

••Storm surgeStorm surge

••Debris inDebris instorm surgestorm surge

••FloodingFlooding



The First 5 Days The First 5 Days

Day 1: Tuesday, August 30Day 1: Tuesday, August 30

Temporary BoO in Metairie, LA Temporary BoO in Metairie, LAFEMA BoO began to attract locals looking for shelterFEMA BoO began to attract locals looking for shelterII--10/I10/I --610 used as boat launches for operations into west610 used as boat launches for operations into westNew Orleans: primary search & rescue operationsNew Orleans: primary search & rescue operationsProvide FEMA US&R water rescueProvide FEMA US&R water rescue

Task Force boats, US EPA contractor boats Task Force boats, US EPA contractor boats

Support LA Dept. of Fish & Game, local/regional fire &Support LA Dept. of Fish & Game, local/regional fire &law enforcement, USCG, local volunteers, any otherslaw enforcement, USCG, local volunteers, any others




Day 1: Tuesday, August 30Day 1: Tuesday, August 30

Evacuee numbers overwhelm resourcesEvacuee numbers overwhelm resourcesHigh medical acuity, no operational EMS, limited hospitalsHigh medical acuity, no operational EMS, limited hospitals

Ambulance strike teams staged for Superdome evacuation Ambulance strike teams staged for Superdome evacuation

All hands enter operations All hands enter operations Approximately 350 evacuees rescued by boat Approximately 350 evacuees rescued by boat

BoO moved to New Orleans Saints Training Facility thatBoO moved to New Orleans Saints Training Facility thatnightnight

No utilities or servicesNo utilities or servicesPerimeter and access controlled by local law enforcementPerimeter and access controlled by local law enforcement




Day 2: Wednesday, August 31Day 2: Wednesday, August 31

Return for water operations at IReturn for water operations at I --10/I10/I --610610Huge numbers of volunteers with boatsHuge numbers of volunteers with boatsLocal EMS marginally operationalLocal EMS marginally operational

Buses available to move evacueesBuses available to move evacuees

Reconfigured FEMA US&R Medical TeamsReconfigured FEMA US&R Medical TeamsCreated Medical Branch by consolidating Medical Teams from allCreated Medical Branch by consolidating Medical Teams from all

Task Forces (Type I TF 2 MDs + 4 EMT Task Forces (Type I TF 2 MDs + 4 EMT --Ps,Ps, Type III TF 1 MD + 2 EMT Type III TF 1 MD + 2 EMT --Ps, IST 2 MDs)Ps, IST 2 MDs)Placed Medical Team member at each boat launch site forPlaced Medical Team member at each boat launch site forprimary triageprimary triage




DivisionTFs, SWRTs

DivisionTFs, SWRTs

Branch

DivisionTFs, SWRTs

DivisionTFs, SWRTs

Branch

Task ForceMedical Teams

Medical Branch

IST Operations Chief IST Plans Chief IST Logistic Chief

US&R IST Leader

FEMA ESF-9 Leader





Return for water operations at IReturn for water operations at I --10/I10/I --610610Realization that all of the evacuees rescued the previousRealization that all of the evacuees rescued the previousday were still on the freeways, some local medicalday were still on the freeways, some local medical

resources providing care but overwhelmedresources providing care but overwhelmedCommunications impossible: satellite & cellularCommunications impossible: satellite & cellulartelephones with no signal, continuously busy or drop callstelephones with no signal, continuously busy or drop calls

UHF radios are only local communicationUHF radios are only local communication





Evacuees still being massed along freeway,Evacuees still being massed along freeway,helicopters from downtown NO hospitals delivering helicopters from downtown NO hospitals delivering evacuated patients making problem worseevacuated patients making problem worse

Shelters being formed in Baton Rouge but no coordinatedShelters being formed in Baton Rouge but no coordinatedtransportationtransportationNO International Airport evolving as central receiving NO International Airport evolving as central receiving pointpoint

5 DMATs completely overwhelmed5 DMATs completely overwhelmed

Over 2500 evacuees rescues by boatOver 2500 evacuees rescues by boat

Medical acuity noticeably droppedMedical acuity noticeably dropped




Day 3: Thursday, September 1Day 3: Thursday, September 1

Tactical stand Tactical stand --downdownUnvalidated reports of unchecked violence & lawlessnessUnvalidated reports of unchecked violence & lawlessnessUltimately largely overstated and ‘urban legend’Ultimately largely overstated and ‘urban legend’

Security of response forces could no be assuredSecurity of response forces could no be assuredLocal law enforcement overwhelmedLocal law enforcement overwhelmedState & federal law enforcement still arriving State & federal law enforcement still arriving

Regroup US&R resources and tactical plansRegroup US&R resources and tactical plansConditions in FEMA BoOConditions in FEMA BoOLow on water, food and fuelLow on water, food and fuelHygiene and waste management marginalHygiene and waste management marginalPopulation increasing Population increasing




Day 4: Friday, September 2Day 4: Friday, September 2

Moved operations to IMoved operations to I --10/SR 10/SR --90, east New Orleans90, east New OrleansMore resources: FL TFMore resources: FL TF --1, NM TF1, NM TF --1, CO TF1, CO TF --1, AZ TF1, AZ TF --1,1,NV TFNV TF --1, CA TF1, CA TF--2, 3, 5, 6, 82, 3, 5, 6, 8

CA OES SWRTs 1CA OES SWRTs 1 --88

Anticipated evacuating neighborhoods, 2 hospitals Anticipated evacuating neighborhoods, 2 hospitalsDiscovered Lafon Nursing HomeDiscovered Lafon Nursing Home

Evacuated 55 patients, 19 fatalitiesEvacuated 55 patients, 19 fatalities

Evacuees still being left on freeways, NO Int’l AirportEvacuees still being left on freeways, NO Int’l Airportoverwhelmed, evacuation of Superdome political priority,overwhelmed, evacuation of Superdome political priority,no coordinated transportationno coordinated transportation




Day 4: Friday, September 2Day 4: Friday, September 2

Helicopter evacuations to NO Int’l AirportHelicopter evacuations to NO Int’l AirportNonNon --ambulatory groundambulatory ground --transported evacueestransported evacueesturned away at airport by law enforcementturned away at airport by law enforcement

Change in US&R rescue strategy Change in US&R rescue strategy Rescue when necessary Rescue when necessary

ShelterShelter--inin--place where possibleplace where possible Water, ice, MREs Water, ice, MREs Approximately 2000 sheltered in place over next few days Approximately 2000 sheltered in place over next few days




Day 5: Saturday, September 3Day 5: Saturday, September 3

Operations in multiple Branches and DivisionsOperations in multiple Branches and DivisionsMedical Branch moved to strategic collection pointsMedical Branch moved to strategic collection points

Over following days medical acuity and numbers of Over following days medical acuity and numbers of

victims rescued decline victims rescued declineMedical operations returned to individual Task ForcesMedical operations returned to individual Task ForcesMedical evacuation coordinated through IST Medical UnitMedical evacuation coordinated through IST Medical Unit

Air evacuation to FEMA BoO helibase Air evacuation to FEMA BoO helibaseGround transport via local EMS to predetermined hospitalGround transport via local EMS to predetermined hospitalOchsner Clinic FoundationOchsner Clinic FoundationEast Jefferson General HospitalEast Jefferson General Hospital



Continued OperationsContinued Operations

MultiMulti--Branch, multiBranch, multi--division, multidivision, multi-- Task Force Task Force

Primary to secondary search transitionPrimary to secondary search transitionDoorDoor --toto--door, roomdoor, room --by by --room search in approximately 22,000room search in approximately 22,000residential structures based on census data and knownresidential structures based on census data and known

flooding flooding Forcible entry permissionForcible entry permission

Management of deceasedManagement of deceasedMark location: GPS, addressMark location: GPS, address

Access, technical operations Access, technical operationsContractor, DMORT, DPMU, local MEContractor, DMORT, DPMU, local ME




Rescuer health & safety Rescuer health & safety

Urban flooding Urban flooding Coliforms, other bacteria, enteric viruses from sewerColiforms, other bacteria, enteric viruses from sewer

Volatiles from fuel tanks Volatiles from fuel tanks

NG leaks and firesNG leaks and firesHazardous materials sitesHazardous materials sites

HomesHomesIndustrial & commercial sitesIndustrial & commercial sites

Respiratory, dermatologic, gastrointestinal sx surveillanceRespiratory, dermatologic, gastrointestinal sx surveillanceHygiene vs. ‘decon’Hygiene vs. ‘decon’




Rescuer health & safety Rescuer health & safety Atmospheric & water quality monitoring Atmospheric & water quality monitoring

55--gas meters upon attic breachesgas meters upon attic breachesOO 22, LEL, CO, H, LEL, CO, H 22S, VOCsS, VOCs

US EPA, CDC, stateUS EPA, CDC, state

Interior searchesInterior searchesMoldsMolds

Trauma & immersion Trauma & immersion

Heavy Heavy --lift helicopter safety lift helicopter safety Cooling vestsCooling vestsUseful for about 2 hours; refrigeration source for renewalUseful for about 2 hours; refrigeration source for renewal

Therapeutic use in heat stress Therapeutic use in heat stress




Rescuer health & safety Rescuer health & safety BoO Medical UnitBoO Medical Unit

IST Medical OfficerIST Medical OfficerIncident medicalIncident medicaloperationsoperations

Care of IST membersCare of IST members Task Force Medical Team Task Force Medical Team Victim care Victim care Task Force member Task Force member

carecareInitial search canineInitial search caninecare

ChallengesChallengesCA OES SWRTsCA OES SWRTs

Military Military NonNon --US&R federalUS&R federalrespondersrespondersState & localState & local

respondersrespondersContractorsContractorsRescued animalsRescued animals

SolutionsSolutionsNDMS DMAT strikeNDMS DMAT striketeamteamFederal OccupationalFederal OccupationalHealthHealthMilitary medical unitMilitary medical unit

VMAT

care

VMAT



‘Internally Displaced Persons’‘Internally Displaced Persons’

Evacuation of Gulf states population.Evacuation of Gulf states population.

Houston, Atlanta...Houston, Atlanta...Orange County, CA.Orange County, CA.

Approximately 700 self Approximately 700 self --evacuated persons.evacuated persons.41% Vietnamese.41% Vietnamese.

Approximately 300 requiring medical resupply or care. Approximately 300 requiring medical resupply or care.Challenging medical economics.Challenging medical economics.

MultiMulti--agency coordination: government & NGO.agency coordination: government & NGO.OC HCA, OC SSA, OC ARC, ‘Operation OC.’OC HCA, OC SSA, OC ARC, ‘Operation OC.’

Issues with populations returning to LA, MS.Issues with populations returning to LA, MS.

catf-5: hurricane katrina-new orleans, august - september 2005

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